Neonatal Shock

The risk factors for shock and hypotension in newborn infants are low birth weight, maternal sepsis, prolapsed cord, and acute onset of maternal vaginal bleeding. Clinical signs of hypovolemia are pallor, tachycardia, grunting respirations in the absence of pulmonary disease, mottling of skin, poor capillary filling, thready pulse and hypotension (systolic < 45 mmHg in a 1000-g premature neonate or < 60 mmHg in a term infant), and persistent metabolic acidosis. A hematocrit should be obtained, and if anemia (hematocrit < 45 vol%) or hypotension is diagnosed, immediate plasma expansion in the form of packed red blood cells 5 mL/kg or whole blood, fresh-frozen plasma, Plasmanate, or 5% salt-poor albumin 10 to 20 mL/kg should be given intravenously over 10 min.

Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

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